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Medical Records Request Form

REQUEST YOUR MEDICAL RECORDS

Request copies of your medical records

To request copies of your medical records, please download, complete,
and sign the MacArthur Medical Center consent form below to release or obtain your medical record request.

DOWNLOAD MEDICAL RECORDS RELEASE FORM

Please fax your completed form to the following:

OB/GYN Fax: 866-630-6348
Pediatrics Fax: 972-739-2894

Completed forms request will be sent within 7/10 business days.
For the status of your medical record request, please email [email protected]

You may also request your medical record via the patient portal at no charge.

PATIENT PORTAL